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General NPI Number Information
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NPI Number | 1154283273
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Entity Type | Organization
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Legal Business Name | SARAH GIBSON COUNSELING, LLC
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 7251 SAINT JAMES DR # D
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City | EDWARDSVILLE
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State | IL
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Zip | 62025-5363
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Country | US
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Telephone | 314-643-8723
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Fax |
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Provider Business Mailing Address
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Address Line | 312 CANARY LN
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City | GODFREY
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State | IL
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Zip | 62035-2301
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Country | US
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Telephone | 618-581-9843
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Fax | 618-581-9843
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Authorized Official
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Title or Position | OWNER
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Name | SARAH GIBSON
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Credential |
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Telephone | 618-581-9843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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